Individual provider Active NPI

Emillie Rodriguez Trinidad

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1154094225
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6897 Issued in PR
Practice address
211 Ave Domenech Ste 3
San Juan, PR 00918-3529
Phone
(787) 242-1649
NPI assigned
Jul 26, 2021
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6897 PR Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

211 Ave Domenech Ste 3
San Juan, PR 00918-3529

Mailing address

Urb Toa Alta Heights Aa-16 Calle 24
Toa Alta, PR 00953

Other practice location 1

Carr 188 # Int187
Loiza, PR 00772-1850
Phone (787) 876-2042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6897PRMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1154094225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB TOA ALTA HEIGHTS AA-16 CALLE 24",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 AVE DOMENECH STE 3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183529",
            "telephone_number": "787-242-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 188 # Int187",
            "address_purpose": "LOCATION",
            "city": "Loiza",
            "state": "PR",
            "postal_code": "007721850",
            "country_code": "US",
            "telephone_number": "787-876-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ TRINIDAD",
        "first_name": "EMILLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6897",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.